DR. JONATHAN PHAM OD
NPI 1821724873
Optometrist in Livermore, CA

Q: What is Jonathan Pham's NPI number?

The NPI number for Jonathan Pham is 1821724873. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Q: What is Jonathan Pham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Pham was last updated on July 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2022PECOS Enrolled

1800 FOURTH ST, LIVERMORE, CA 94550(925) 447-3883 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jonathan Pham Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN PHAM OD (NPI 1821724873) is an individual optometrist in Livermore, California, licensed in California (34882) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).

NPPES Registry Identity

NPI1821724873

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JONATHAN PHAMCredential: OD

Location Address1800 FOURTH STLivermore, CA 94550-4454

Mailing Address1666 Serpa DrMilpitas, CA 95035-4726 · (408) 806-6687

Phone(925) 447-3883

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2021

Enumeration DateJuly 30, 2022

NPPES CertifiedJuly 30, 2022

✔ NPI 1821724873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 34882

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1800 FOURTH ST, Livermore, CA 94550

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Pham Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860875481

PECOS Enrollment IDI20220815002685

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA HARDING O.D.

Optometrist